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HomeMy WebLinkAboutBuilding Permit AppAm, W000 -PVC -ennin tint-:-Aiuminurmf 4)17i Gae '772-99 9-2038 Fax; 772-999-2 039 Owner's name: —�tjta,?� Job address: Q1— 1)r POD's name: Plan examiner's name: • Application • Signed estimate • Copy of survey/drawing • NOC • Declaration of covenant Date: Un (please print clearly) (please print clearly) Please call our office with any questions 772-999-2038 or email to elizabeth@adamsfencecompany.com All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8-17-21 Permit Number: :1 Iai I11 l_ M Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34382 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT TYPE: Fence PROPOSED IMPROVEMENT LOCATION: Address: 5495 McDonnell Dr Property Tax ID #: __ 1301-614-0181 _0n0_4 Lot No, 9 Site Plan Name: Block No. Project Name: _Kellie Block Additional work to be performed under this permit —check all that apply: Mechanical — Gas Tank _ Gas Piping Shutters _ Electric _ Plumbing _ Sprinklers Generator Total Sq. Ft of Construction: Sq. Ft. of First Floor: — Cost of Construction: ' l 5 [ 6 rtltilities: _ Sewer — Septic — Windows/Doors _ Roof Pitch Building Height: OWNERAESSEE: CONTRACTOR: Name Kellie Block Name: Steve Adams Address:5495 McDonnell Dr Company: Adams Fence ILL City: Ft. Pierce State: R Zip Code: 34_ 951 _ Fax: Phone No. 404-597-1233 -Company Address:1206 8th Street City: Vero Beach State: FL Zip Code: 32962 Fax: Phone No 772-999-2038 E-Mail info@0damsfencinacomn0y com State or County License E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) •• _^^•^� �-. +.....+,........r...a .r�.aw v, �r,v�c, a rtca.vnUCu t7UitGe PF 40mm@nCem@nT FS r@quir@n. If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW IN I FORMATION: Utb1UNtK/LNV3INEER: Not Applicable Name: Address: City: State: Zip: — Phone FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not App"le Name: Address: City: State: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: _ Phone —Not Applicable OWNER/ CONTRACTOR AFFIDVIT: Application is herebymade to obtain a permit to do the work and installationUftfitated. I certify that no work or installation has commenced prior to the Issuange of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which Is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such. structure. Please consult with your Home Owners Association and review your deed for arty restrictions which may. apply. In consideration of the grandng of tl*,requested permit, I do hereby agree that I will, in 00 respects, perform the work .in accordance with the approved pla#&* e Florida Building Codes and St. Lucie County Alhondments. The following building permit applications are exempt from undergoing a full concurrencyTeview: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anothpo' 'esidential use er .6-r "WARNING TO OWNEW YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY A . ESULT IN YOUR PAYING TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNFY RFFous: RF'rnunrau ym in un eic Steve Adam Steve Adams Signature Of Owner/ Less(e/Contractd�qas Agent for Owner Signature of Co-n—tra(A6r/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNWOF—_ Inriian Pixin[ COUNTY OF Indian River The forgoing Instrument was acknowledged before me The for in instrument was acknowledged beftwej#e, this L-0. iyof August, 2021 by 2021 by Name of person making statement. Name of person making statement Personally Known -_ V OR Produced Identification Personally Known V OR Produced Identification Type of identification Type of Identification Produmd Produced . .... ROBIN LIRA RURIN R1 pub, (Sign a'iu'r e �ukbfttji€torida CS14nature of N S str =tate!!of Commission No ati FI ­eam M# HM3 Commissi State ofFlorida M H1680or EmTres 23 Exoires R/�02/2n?q REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE —DATE COUNTFA REVIEW REVIEW REVIEW REVIEW REVIEW _REVIEW RECEIVED DATE COMPLETED Te_v—.27719— . ..... . . ...... .. NOTICE OF COMMENCEMENT TO BE COMPLETED WHEN CONSTRUCTION VALUE EXCEEDS $2,500.00 OR WHEN HEATING OR AIR CONDITIONING REPAIR OR REPLACEMENT EXCEEDS $7,500.00 Permit #: Tax Folio #: 1301-614-0181-000-4 State of Florida, County of Irdiondbrr4 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Legal description of the property (and complete street address if available): Lakewood Park -Unit 12-Blk 164 Lot 9 (Map 13/12S) 5495 McDonnell Dr Vero Beach, FI 32951 General description of improvement: Fence Installation Owner information or 01-essee information (if the Lessee contracted for the improvement): a. Name: Kellie Block b. Address: (street address) (complete city name) c. Interest in property: 100% d. Name & complete address of fee simple titleholder (if different from Owner listed above): N/A (state) (zip code) 4. Contractor: a. Name: Adam's Fence 2 LLC b. Address: 1206 8th St Vern Bparh FL 32962 (street address) (complete city name) (state) (zip code) c. Phone number: 772-999-2038 5. Surety Company (if applicable, a copy of the payment bond is attached): a. Name & complete street address: N/A b. Phone number: Bond amount: 6. Lender/Mortgage Company. N/A a. Name & complete street address: b. Lender's phone number: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name & complete street address: N/A b. Phone number: Fax number: 8. In addition to himself or herself, a. Owner designates N/A of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number: 9. Expiration date of notice of commencement: (the expiration date will be 1 year from the date of recording unless a different date is specified). WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. (Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager) (Signatory's Title/Office) The foregoing instrument was acknowledged before me this day of August , 2021 By: (printed name of person signing above) Kellie Block As: For (type of authority, e.g. officer, trustee, attorney in fact) (name of party on behalf of whom instrument was executed) OPersonally Known OR QProduced Identification Type of Identification Produced Sherr Farrell : �`� • • 9F�'% Notary Seal co BLI& Nota Signature C rokee Co ty CEpRURp ` n Expires Notary Printed Name •' , ; Q March 3 2023 �rF '• •.......•• .,//sFC 0 i N, r SHEET 1 OF 2 (SURVEY SKETCH) -------- SURVEY NOT COMPLETE WITHOUT ALL SHEETS MAP OF BOUNDARY SURVEY PREPARED FOR KELLIE BLOCK —1 NW CORNER OF BLOCK 64 0 0 650.52' r' FIR 5/8 (NO ID) BEARING BASIS LOT 10 BLOCK 64 F) s �1 V1 `v1 1" LOT 7 BLOCK 64 SW JULIET AVENUE 70 R 20' ASPHALT ROADWAY 118,75' ��• FlR 5/8' NO ID) •`• ••t• R 5/8' 3e (NO ID) 9 ® /I �F LOT 9 '" *Pi - BLOCK 64 `a NOTABLE CONDITIONS: PROPERTY APPEARS TO BE SERVICED BY PUBLIC UTILITIES. THERE IS A REAR 10PUBLIC UTILfTYAND DRAINAGE EASEMENT. LOT 8 BLOCK 64 BEARINGS AND DISTANCES SHOWN ARE RECORD AND MEASURED, UNLESS OTHERWISE SHOWN. &D.E. - PUBLIC U77LI YAND DRAINAGE EASEMENT RINGS ARE BASED UPON THE RECORD BEARING. I.B. 2I01— REVISION. FIELD DATE - 0810912021 REVISION DRAWN BY - C.T REVISION, REVISION REVISION REVISION REVISION - REVISION - REVISION - FLORIDA BUSINESS CERTIFICATE OF AUTHORIZATION NUMBER LB 6912 .......____-....__.. . FIR5/e' 35.00' K (NO ID) L=107,56' =429,56' A=14°22'13' L=36,17' R=20,00' 0=103'38'01' o LY-, �LW GL, 3Dq51 NORTHARROW & GRAPHIC SCALE 020, KNOW IT NOW, INC. PROFESSIONAL SURVEYING AND MAPPING 5220 US HIGHWAY 1, # 104 VERO BEACH, FL 32967 PHONE - (888) 396-7770 WWW.KINSURVEY.COM